| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSOCIATED BANK3 | 711 EISENHOWER DR KIMBERLY, WI 54136 | RELIASTAR LIFE INSURANCE COMPANY | $5K | — | $5K | 4.69% |
| USI INSURANCE SERVICES LLC3 | 711 EISENHOWER DR KIMBERLY, WI 54136 | RELIASTAR LIFE INSURANCE COMPANY | $454 | — | $454 | 0.44% |
| THIRD COAST ADVISORS INC3 Filed as: THIRD COAST ADVISORS | 1166 QUAIL COURT STE 100 PEWAUKEE, WI 53072 | BERKSHIRE (SUBSIDIARY OF GUARDIAN) | $10K | — | $10K | 9.87% |
| SCOT J MADSON3 Filed as: SCOT J MADON | 111 N WASHINGTON ST GREEN BAY, WI 54301 | BERKSHIRE (SUBSIDIARY OF GUARDIAN) | $9K | — | $9K | 9.21% |
| MICHAEL L. SCOTT3 Filed as: MICHAEL SCOTT | 1488 W SOUTH PARK AVE OSHKOSH, WI 54902 | BERKSHIRE (SUBSIDIARY OF GUARDIAN) | $8K | — | $8K | 8.16% |
| MICHAEL L. SCOTT3 Filed as: MICHAEL SCOTT | 1488 W SOUTH PARK AVE OSHKOSH, WI 54902 | GUARDIAN LIFE INSURANCE CO OF AMERICA | $1K | — | $1K | 7.38% |
| SCOT J MADSON3 | 111 N WASHINGTON ST GREEN BAY, WI 54301 | GUARDIAN LIFE INSURANCE CO OF AMERICA | $1K | — | $1K | 7.38% |
| THIRD COAST ADVISORS INC3 Filed as: THIRD COAST ADVISORS | 1166 QUAIL COURT STE 100 PEWAUKEE, WI 53072 | GUARDIAN LIFE INSURANCE CO OF AMERICA | $25 | — | $25 | 0.15% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 559 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 559 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.